Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.04 / $2,056.00 / $6,409.87	Facility		$109.04	$2,056.00	$6,409.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $211.74 / $401.19	Professional		$74.48	$211.74	$401.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,033.96 / $2,791.95 / $6,716.20	Facility		$2,033.96	$2,791.95	$6,716.20
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,163.21 / $1,605.93 / $2,177.71	Facility	50	$1,163.21	$1,605.93	$2,177.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $91.13 / $202.73	Professional		$23.09	$91.13	$202.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.81 / $138.81 / $138.81	Facility		$138.81	$138.81	$138.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.80 / $245.38 / $617.90	Professional		$81.80	$245.38	$617.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $236.57 / $2,056.00 / $6,409.87	Facility		$236.57	$2,056.00	$6,409.87
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $82.48 / $236.57 / $421.24	Professional		$82.48	$236.57	$421.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $239.17 / $297.04 / $418.38	Professional		$239.17	$297.04	$418.38
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,438.00 / $2,029.00	Facility		$464.00	$1,438.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $259.72 / $303.30 / $518.35	Professional		$259.72	$303.30	$518.35